开塞露协助排便后灌肠与复方聚乙二醇电解质散在吻合器痔上黏膜环切术肠道清洁准备中效果差异

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摘要目的探讨开塞露协助排便后采取灌肠和口服复方聚乙二醇电解质散在吻合器痔上黏膜环切术（PPH）术肠道清洁准备中效果差异。方法选取2015年3月～2017年3月我院住院部收治拟行PPH术患者84例为研究对象，采用计算机软件抽取住院号法随机分为A组（42例）和B组（42例），分别采用清洁灌肠和复方聚乙二醇电解质散联合开塞露灌肠进行术前肠道清洁准备。比较两组患者肠道清洁准备效果及不良反应发生情况。结果两组肠道清洁准备效果比较差异无统计学意义（P＞0.05）。A组肠道清洁准备过程中腹部胀痛、粪便自发外流、排便感强烈发生率均显著高于B组（P＜0.05）。结论清洁灌肠和复方聚乙二醇电解质散联合开塞露灌肠在肠道清洁准备均有显著效果，但复方聚乙二醇电解质散联合开塞露灌肠可降低患者肠道准备过程中相关不良反应的发生率，提高患者的舒适度。

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	欧阳钦
	林跃纯
	王三英

关键词 ：开塞露, 灌肠, 复方聚乙二醇电解质散, 肠道清洁准备

Abstract：ObjectiveTo explore the difference of the effect between the glycerine enema and oral compound polyethylene glycol electrolyte in the preparation of intestinal cleansing after procedure for prolapse and hemorrhoids(PPH)surgery.Methods84 case of proposed to PPH patients in our hospital from March 2015 to March 2017 were selected,and they were divided into group A (42 cases)and group B (42 cases)by extracting hospitalization number through computer software,they were given the different preoperative bowel cleansing of clean enema and compound polyethylene glycol electrolyte disintegration combined with enema enema respectively.The efficacy and adverse reactions of the two groups were compared.ResultsThere was no significant difference in the preparation of intestinal cleansing between the two groups(P＞0.05).The incidence of abdominal pain,fecal spontaneous outflow and defecation in group A was significantly higher than that in group B (P＜0.05).ConclusionClean enema and compound polyethylene glycol electrolyte disperse combined with cypriot enema in the preparation of intestinal cleansing have a significant effect,but the compound polyethylene glycol electrolyte combined with open plug enema can reduce the occurrence of adverse reactions of patients related to the intestinal preparation process,and improve comfort of patients.

Key words： Glycerine enema Enema Compound polyethylene glycol electrolyte Preparation of intestine cleaning

基金资助:广东省东莞市医疗卫生一般项目（201610515000 281）

作者简介: 欧阳钦（1985-），男，江西吉安人，本科，主治医师，研究方向：普外科

引用本文:

欧阳钦；林跃纯；王三英. 开塞露协助排便后灌肠与复方聚乙二醇电解质散在吻合器痔上黏膜环切术肠道清洁准备中效果差异[J]. 中国当代医药, 2017, 24(16): 27-29.
OUYANG Qin ；LIN Yue-chun ；WANG San-ying. The difference in the effect of glycerine enema and post-bowel enema and compound polyethylene glycol electrolyte in the preparation of intestinal cleaning of PPH. 中国当代医药, 2017, 24(16): 27-29.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I16/27

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